Ling Xiaoyun is definitely not a simple woman, she has already played the power in her hands to a slippery one.

Of course, Lin Lin had experienced such a situation in his previous life, and now repeating it again, he has a way to deal with her.

Lin Lin was in the outpatient clinic at the same time as Li Yun'e. At this time, the leaders of the neurology department did not pay attention to it, and there was only a small consultation room in the outpatient department, with two consultation tables placed together, and two doctors sitting facing each other.

In her previous life, Lin Lin sat on the cold bench for almost half a year. In the past six months, Lin Lin has re-read neurology and neuroanatomy. Lin Lin always believes that no matter what environment she is in, as long as she does not give up, she will always usher in vitality.

After being reborn, although Lin Lin is very confident in herself, the patients still adhere to the concept of "old doctor and new tailor". In the first month of the consultation, there were very few people who were willing to see Lin Lin.

Just after nine o'clock in the morning, Lin Lin, who was immersed in reading, received a call from Sister Ding from the ward.

"Doctor Lin, the director asked me to inform you to return to the ward immediately and rescue a critically ill patient."

"Is it heavy?"

"Well, it's really heavy, come back quickly."

"Okay." Lin Lin believed in Sister Ding very much, and besides, from Sister Ding's tone, Lin Lin heard a little helplessness.

Back in the ward and walking into the doctor's office, Lin Lin saw that all the doctors were discussing the patient's condition in the office. Seeing Lin Lin come back, Ling Xiaoyun said to Ding Feng, "Doctor Ding, can you briefly introduce the patient's situation." ”

"Okay." Ding Feng treats patients very seriously and responsibly. Besides, she believed in Lin Lin and hoped that Lin Lin would have some tricks to save this patient.

"The patient, a 26-year-old male, was rushed to our department at 8:30 a.m. today from the Nanhai Petroleum Company's medical station because he suddenly felt poor breathing."

"The patient developed symptoms such as low-grade fever (37.6°C), dry throat, and runny nose ten days ago, and was treated as a 'cold' at the medical station of the unit."

"After about a week, the dry throat and runny nose disappeared and the patient began to feel general fatigue. The unit medical station believed that the patient may be caused by weakness after the 'cold', and was given intravenous infusion of amino acid injection. ”

"Since yesterday afternoon, the patient felt a little strained breathing, but it was not serious and no special treatment was done. This morning, the family found that the patient's breathing strain was more obvious, and immediately went to the unit's medical station for treatment. ”

"The doctors at the unit's medical station believed that the patient's diagnosis was unclear and his condition was progressing rapidly, and they could not do further diagnosis and treatment, so they immediately sent him to our department by ambulance."

"After the patient was admitted to the hospital, his condition deteriorated rapidly, his breathing was weak, and his face began to cyanosis. Under the guidance of the director, the otorhinolaryngology department was immediately asked to perform a tracheotomy and use a ventilator to assist breathing. Although the cyanosis has improved, the patient seems to be in pain. ”

"The patient's unit, our hospital, and our department all attach great importance to it, make every effort to carry out rescue, and organize general discussions in the department. That's my debriefing. ”

This case was experienced by Lin Lin in her previous life. At this rate of progress, in 2022, before rebirth, under the maintenance of artificial respiration, the stage of ventilator weakness will be passed, and there may be hope for successful rescue.

In her previous life, in 2000, Lin Lin successfully rescued a similar case. At that time, they used an imported ventilator and worked continuously for 35 days, setting a record for the longest continuous working time of this brand's ventilator, which was introduced by the brand's ventilator supplier as a model at various promotion meetings.

The current affiliated hospitals, not to mention imported ventilators, even if they are domestic ventilators, there are not many units.

At that time, the technology of domestic ventilators was not mature, and there was not even a standard parameter setting. It is impossible to maintain breathing for a long time with such a ventilator.

Watching the reappearance of a scene from his previous life, Lin Lin after being reborn knew that he was not omnipotent. Without a "sharp weapon" to save patients, he has no way.

But with decades of clinical experience, Lin Lin still wanted to give it a try and see if she could break the "curse" of her previous life.

"Dr. Lin, this patient is only 26 years old, a top student of Huazhong University of Science and Technology, and a pillar of the unit. His son is not yet a full moon, and it is sad that he is now in this situation. I know you have a lot of ideas, so tell me what you think. ”

"Thank you, Director, for your trust. This patient, Dr. Ding just said very clearly. First of all, the diagnosis of this patient, I think everyone has no objection, this is a patient with acute Guillain-Barré syndrome. ”

"The most terrifying thing is that this patient's disease progresses very quickly, indicating that the patient's autoimmune response has activated the inflammation in his body and formed an 'inflammatory storm' effect, which is very scary."

"In the short term, it is impossible for patients to quickly repair the myelin sheath of nerves which have been damaged. This means that the maintenance of assisted respiration is very important and the only way to keep the patient alive. ”

"This kind of assisted breathing is not only to maintain, but also to keep the patient's internal environment in a normal state. This is an impossible task for our hospital and for our department. ”

"At present, our ventilator can blow in a short time, but it is absolutely impossible to blow continuously for 24 hours, otherwise, the patient's electrolyte and acid-base balance will be disordered, and carbon dioxide retention will be very obvious, and this alone can kill the patient."

"Dr. Lin, do you have any good ideas?" A crying, urgent voice rang out from a corner.

Lin Lin looked around and saw a strange female doctor in a white coat who was nearly fifty years old talking, her eyes full of anxiety, pain and panic.

"Doctor Zhang, you wait, listen down, we also want to hear Dr. Lin's thoughts." Director Ling stopped the doctor's interjection in time.

Lin Lin sighed lightly and continued.

"Whether today's patients can save their lives is closely related to whether they can maintain normal breathing, maintain normal blood oxygen saturation, and maintain a stable internal environment. And these, in the end, have to return to the maintenance of breathing. ”

"So, I have an idea to bring up for everyone to discuss." Speaking of this, Lin Lin paused. In the office, it was extremely quiet, and all eyes were staring at Lin Lin.

"Alternate between pinching the ball and briefly using the ventilator to maintain the patient's breathing. Of course, there are several major problems with this. ”

"First, it takes at least a month for a patient with Guillain-Barré syndrome to repair their nerves. And this patient, it will definitely take a little longer. Will we be able to have enough people to do this for such a long time? ”